Amie Gahan Physical Therapy and Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AMIE GAHAN PHYSICAL THERAPY AND WELLNESS INC

Practice address

542 Lighthouse Ave Unit 106
Pacific Grove, CA 93950-2777

Phone

(310) 938-2038

NPI assigned

Dec 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amie Rovane Gahan, DPTNPI 1326532987

Title

Ceo/Owner/PT

Phone

(310) 938-2038

Specialties & licenses 1

Addresses

Other names 1

• Restore Physical Therapy and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amie Rovane Gahan, DPT

  • Physical Therapist
  • Pacific Grove, CA
  • NPI 1326532987
  Medicare reassignment Care Compare group NPD Authorized official
• Zachary Spangler, PT, DPT

  • Physical Therapist
  • Susanville, CA
  • NPI 1518722180
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1649930504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 LIGHTHOUSE AVE UNIT 51695",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939508083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 LIGHTHOUSE AVE UNIT 106",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502777",
            "telephone_number": "310-938-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIE GAHAN PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "GAHAN",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "ROVANE",
        "authorized_official_title_or_position": "CEO/OWNER/PT",
        "authorized_official_telephone_number": "310-938-2038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Leigh Addington, PHARMD
• Adriana Lalinde Dental Corporation
• Shelley Sousa Albert, PHARM.D.
• Breona Gonzalez Alexander, CCC-SLP
• Alsana West Norcal LLC
• Trina Ammar, RN, IBCLC
• Amy Dore DPT Physical Therapy
• Tessa Marie Aoyama, LMFT
• Stephanie Arellano
• Stacey Ashton, B.C.B.A.

• Physical Therapist in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.